| NPI | 1215186127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 27634) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 7321599) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-06-08 |